FISDAP EMT Medical Exam
1. Which statement strongly indicates syncope? - I blacked out for a few seconds
2. When assessing the patient for arm drift, you should ask the patient to - hold their arms out palms up, eyes closed
3. 68 yo patient reports abdominal pain, vomiting, and a...
FISDAP EMT Medical Exam 1. Which statement strongly indicates syncope? - I blacked out for a few seconds 2. When assessing the patient for arm drift, you should ask the patient to - hold their arms out palms up, eyes closed 3. 68 yo patient reports abdominal pain, vomiting, and a loss of appetite, as well as black, tarry stools. you should suspect - upper gi bleed 4. You are called to an outdoor garden center on a hot, humid day. Your patien t is pale, wheezing, and has hives. you should suspect - bee sting 5 employees feel "light -headed". they have respiratory problems after working in a packing company. - toxic substance exposure 5. you have been dispatched to a behavioral emergenc y. The police are on the scene and have asked you to evaluate the patient. you should - restrain the pt. to your cot and transport to the nearest hospital 6. a pt. was cleaning a bathroom when he came out gagging and coughing. his eyes are red and wat ering and he is complaining of dyspnea. you should - move the pt to a well ventilated area 7. 38 yo pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and hyperthermic. you find an empty bottle of Synthroid nearby. You should - contact the poison center or medical command. 8. a pt's family member reports a glucometer reading of 57 mg/dL. how should you interpret this reading? - low 9. a worker at a fertilizer plant has spilled lye all over his upper body. you should - brush the powder off the pt. 10. to assess a possible stroke pt for abnormal speech, you should - ask the pt to repeat a common phrase 11. a pt was stung by a bee. you should - apply ice cold compress to the affected area 12. 72 yo male has weak hand grips, blurred vision, and is unable to tell you the day of the week. he is a type 2 diabetic. what should you do - evaluate for facial droop 13. which of the following meds helps the body transport sugar into the cells - insulin 14. an unc onscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is - stroke 15. where would you expect to find pain in a pt with suspected appendicitis - right lower quadrant 16. when as sessing a pt for facial droop, you should - ask pt to smile or show his teeth 17. which of the following assessment findings suggests a gi bleed - bright red blood from the rectal area 18. you are assessing an unresponsive medical patient. what s hould be your primary focus - chief complaint 19. a patient has a headache. how should you position him on the cot - 90 degree fowler 20. 50 yo male who recently completed renal dialysis is bleeding profusely from his shunt. how should you classify this bleeding - a life -threatening problem that requires immediate surgical intervention 21. a 28 yo pt is outside at a concert and appe ars confused. he is unable to answer your questions. you should - look for a medical identification necklace or bracelet 22. a car battery exploded in your pt's face. he denies any breathing difficulty. you should - irrigate eyes with water 23. a patient is having a tonic -clonic seizure. he is not breathing. you should - prevent the pt from further injury 24. your first priority whe. dealing with a pt who is exhibiting behavior issues is to - ensure the safety of yourself and your partne r 25. according to the Cincinnati prehospital stroke scale, which of the following should be assessed - facial droop 26. 78 yo M alzheimers pt has bruising on his back, neck, and stomach. when you ask the pt what happened, his caregiver insists "he fe ll getting out of bed" what should you do a. ask on of the family members to ride in the back with him b. ask the caregiver why the pt required restraint c. immediately notify law enforcement to take a report d. move him into the ambulance so you can talk to him alone - c. notify law enforcement to take a report 27. A 32 -year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? - assess her pulse for 30 -
45 seconds 28. An 80 y/o male complains of a headache and nausea. He is confused with hot, dry skin. His house is hot and humid. VS are BP 90/55, P 96, R 18, SpO2 88% and BGA 88 mg/dL. What should you do? - Begin active cooling measures (signs of heat stroke, also thi nk of fluid replacement due to dehydration) 29. A 28 y/o female complains of sudden onset of dyspnea while eating in a restaurant. Her tongue is swelling and she has urticaria on her neck. VS are BP 86/44, P 116, R 18 with wheezing. What should you adminis ter? - Epinephrine .3 to .5 IM 1:1000 (should suspect anaphylactic shock) 30. While spraying pesticide on his crops, a 51 y/o male started to feel lightheaded and had trouble breathing with excessive saliva production. What should you administer? - Atropine (cholinergic response with the signs of SLUDGE, need to use a anticholinergic drug which is atropine, which blocks the effects of the accumulating acetylcholine) 31. An adult male is sitting alone in a dark room, rocking back and forth. he mutt ers to his sock puppet "are you feeling sad?" what should you do? - introduce yourself and start an assessment 32. A mother of a 17 y/o male called EMS because her son has a depressed affect. While assessing him, he states "I'm not sure if I can take this anymore." What should you do? - Inquire about his suicidal ideations (his statement is a warning sign that he may be thinking of suicide)
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